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You are probably here because you have not yet received your 3895 and your tax preparer is asking for it. If you have not received your 3895 A and you were a member of Covered California, complete the form above and get your 3895 today.

What is California Form 3895 and will it get one in 2022?

Starting tax year 2022 Covered California consumers will no longer get a FTB Form 3895. This is because they did not receive the California Premium Assistance Subsidy (state subsidy) in 2022. This subsidy was discontinued due to the passage of the Inflation Reduction Act. The tax help provided through the Inflation Reduction Act was superior to that offered by the State of California. If you are filing past returns for 2020 or 2021, you will still need the information off of form 3895 in order to complete Form FTB 3853. Form 3853 is used to compare the subsidy received from Covered CA against that allowed to you based on your actual income.

How do I get a 3895?

Follow the simple 3 steps above and you can receive your 3895 today.

How do I download my 3895?

Compete the form above to get your 3895, today.

What is a form 3895?

Form 3895 A is a tax document that shows the amount the IRS contributed to your health insurance costs for a particular tax year. It also shows the cost of the second most expensive Silver plan provided in your zip code. Both of these pieces of information are necessary for your tax preparer to complete your taxes and more specifically form 8962 on your taxes.

Why do I need form 3895?

You need form 3895 so that your tax preparer can properly complete your taxes.

What do I do with form 3895?

Provide form 3895 to your tax preparer just as you would provide a W2 or 1099.

How do I get form 3895?

Complete the form above to get your 3895 today.

Is Covered Ca my insurance company?

No, Covered California is not your insurance company. CoveredCa is the exchange created so that you can shop for and purchase health insurance from a health insurance company such as Blue Shield, Blue Cross, Health Net or Kaiser.

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